Endocrine ATI

A nurse is caring for a client who has syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following findings should the nurse expect? (Select all that apply) a. Decreased blood sodium b. Urine specific gravity 1.001 c. Blood osmolarity 230 mOsm/L d. Polyuria e. Increased thirst

A: an increase in the secretion of ADH leads to dilutional hyponatremia C: a decrease in blood osmolarity is caused by an increase in the secretion of ADH leading to water retention and dilution of blood components

A nurse is caring for a client who has diabetes insipidus. Which of the following urinalysis laboratory findings should the nurse expect? a. Presence of glucose b. Decreased specific gravity c. Presence of ketones d. Presence of RBCs

B: urine of a pt with DI will be dilute with a urine specific gravity of less than 1.005

A nurse in a provider's office is assessing a client who recently began taking levothyroxine to treat hypothyroidism. Which of the following findings should indicate to the nurse that the client might need to decrease in the dosage of the medication? a. Hand tremors b. Bradycardia c. Pallor d. Slow speech

A

At the beginning of a shift, a nurse is assessing a client who has Cushing's disease. Which of the following findings is the priority? a. Weight gain b. Fatigue c. Fragile skin d. Joint pain

A

A nurse in an intensive care unit is planning care for a client who has myxedema coma. Which of the following actions should the nurse include? (Select all that apply) a. Observe cardiac monitor for dysrhythmias b. Observe for evidence of UTI c. Initiate IV fluids using 0.9% sodium chloride d. Administer a levothyroxine IV bolus e. Provide warmth using a heating pad

A B C D

A nurse is reviewing laboratory results for a client who has Addison's disease. Which of the following laboratory results should the nurse expect for this client? (Select all that apply) a. Sodium 130 b. Potassium 6.1 c. Calcium 11.6 d. BUN 28 e. Fasting blood glucose 148

A B C D

A nurse is reviewing the laboratory findings of a client who has Cushing's disease. Which of the following findings should the nurse expect for this client? (Select all the apply) a. Sodium 150 b. Potassium 3.3 c. Calcium 8.0 d. Lymphocyte count 35% e. Fasting glucose 145

A B C E

A nurse in a provider's office is planning care for a client who has a new diagnosis of Graves' disease and a new prescription for methimazole. Which of the following interventions should the nurse include in the plan of care? (Select all that apply) a. Monitor CBC b. Monitor triiodothyronine (T3) c. Instruct the client to increase consumption of shellfish d. Advise the client to take the medication at the same time every day e. Inform the client that an adverse effect of this medication is iodine toxicity

A B D

A nurse is planning care for a client who has Cushing's disease. The nurse should identify that clients who have Cushing's disease are at increased risk for which of the following? (Select all that apply) a. Infection b. Gastric ulcer c. Renal calculi d. Bone fractures e. Dysphagia

A B D

A nurse is preparing to receive a client from the PACU who is postoperative following a thyroidectomy. The nurse should ensure that which of the following equipment is available? (Select all that apply) a. Suction equipment b. Humidified oxygen c. Flashlight d. Tracheostomy tray e. Chest tube tray

A B D

A nurse in a provider's office is reviewing laboratory results of a client who is being evaluated for secondary hypothyroidism. Which of the following laboratory findings is expected? a. Elevated T4 b. Decreased T3 c. Elevated thyroid stimulating hormone d. Decreased cholesterol

B

A nurse in a provider's office is reviewing the health record of a client who is being evaluated for Graves' disease. The nurse should identify that which of the following laboratory results in an expected finding? a. Decreased thyrotropin receptor antibodies b. Decreased thyroid-stimulating hormone (TSH) c. Decreased free thyroxine index d. Decreased triiodothyronine

B

A nurse is providing instructions to a client who has Graves' disease and has a new prescription for propranolol. Which of the following information should the nurse include? a. "An adverse effect of this medication is jaundice" b. "Take your pulse before each dose" c. "The purpose of this medication is to decrease production of thyroid hormone" d. "You should stop taking this medication if you have a sore throat"

B

A nurse is providing medication teaching for a client who has Addison's disease and is taking hydrocortisone. Which of the following instructions should the nurse include? (SATA) a. Take the medication on an empty stomach b. Notify the provider of any illness or stress c. Report any manifestations of weakness or dizziness d. Do not discontinue the medication suddenly e. Eat a low-sodium diet

B C D

A nurse is reinforcing teaching with a client who has a new prescription for levothyroxine to treat hypothyroidism. Which of the following information should the nurse include in the teaching? (Select all that apply) a. Weight gain is expected b. Medication should not be discontinued without the advice of the provider c. Follow-up blood TSH levels should be obtained d. Take the medication on an empty stomach e. Use fiber laxatives for constipation

B C D

A nurse is admitting a client who has acute adrenal insufficiency. Which of the following prescriptions should the nurse expect? (Select all that apply) a. IV therapy with 0.45% sodium chloride b. Regular insulin c. Hydrocortisone sodium succinate d. Sodium polystyrene sulfonate e. Furosemide

B C D E

A nurse is collecting an admission history from a client who has hypothyroidism. Which of the following findings should the nurse expect? (Select all that apply) a. Diarrhea b. Menorrhagia c. Dry skin d. Increased libido e. Hoarseness

B C E

A nurse is reviewing the manifestations of hyperthyroidism with a client. Which of the following findings should the nurse include? (Select all that apply) a. Anorexia b. Heat intolerance c. Constipation d. Palpitations e. Weight loss f. Bradycardia

B D E

A nurse is caring for a client who is 6 hr postoperative following a transsphenoidal hypophysectomy. The nurse should test the client's nasal drainage for the presence of which of the following? a. RBCs b. Ketones c. Glucose d. Strptococci

C

A nurse is planning to teach a client who is being evaluated for Addison's disease about the ACTH stimulation test. The nurse should base the instructions on which of the following? a. The ACTH stimulation test measures the response by the kidneys to ACTH b. In the presence of primary adrenal insufficiency, plasma cortisol levels rise in response to administration of ACTH c. ACTH is a hormone produced by the pituitary gland d. The client is instructed to take a dose of ACTH by mouth the evening before the test

C

A nurse is providing discharge teaching for a client who had a transsphenoidal hypophysectomy. Which of the following instructions should the nurse include? (Select all that apply) a. Brush teeth after every meal or snack b. Avoid bending at the knees c. Eat a high-fiber diet d. Notify the provider of increased swallowing e. Notify the provider of a diminished sense of smell

C D

A nurse is assessing a client who is 12 hr postoperative following a thyroidectomy. Which of the following findings is indicative of thyroid crisis? (Select all that apply) a. Bradycardia b. Hypothermia c. Dyspnea d. Abdominal pain e. Mental confusion

C D E

A nurse is providing teaching to a client who has a new diagnosis of DI. Which of the following client statements indicates an understanding of the teaching? a. "I can drink up to 2 quarts of fluid a day" b. "I will need to use insulin to control my blood glucose levels" c. "I should expect to gain weight during this illness" d. "I might experience confusion or balance problems"

D: confusion and ataxia are findings associated with DI

A nurse is planning care for a client who has acromegaly and is postoperative following a transsphenoidal hypophysectomy. Which of the following interventions should the nurse include in the plan? a. Maintain the client in a low-Fowler's position b. Encourage deep breathing and coughing c. Encourage the client to brush their teeth when awake and alert d. Observe dressing drainage for the presence of glucose

D: the presence of glucose would indicate the presence of CSF2A nr